| Title: |
Cognitive Impairment Before Atrial Fibrillation–Related Ischemic Events: Neuroimaging and Prognostic Associations |
| Authors: |
Banerjee, Gargi; Chan, Edgar; Ambler, Gareth; Wilson, Duncan; Cipolotti, Lisa; Shakeshaft, Clare; Cohen, Hannah; Yousry, Tarek; Al‐Shahi Salman, Rustam; Lip, Gregory Y. H.; Muir, Keith W.; Brown, Martin M.; Jäger, Hans Rolf; Werring, David J.; Shaw, Louise; Harkness, Kirsty; Sword, Jane; Nor, Azlisham Mohd; Sharma, Pankaj; Kelly, Deborah; Harrington, Frances; Randall, Marc; Smith, Matthew; Mahawish, Karim; Elmarim, Abduelbaset; Esisi, Bernard; Cullen, Claire; Nallasivam, Arumug; Price, Christopher; Barry, Adrian; Roffe, Christine; Coyle, John; Hassan, Ahamad; Lovelock, Caroline; Birns, Jonathan; Cohen, David; Sekaran, L.; Parry‐Jones, Adrian; Parry, Anthea; Hargroves, David; Proschel, Harald; Datta, Prabel; Darawil, Khaled; Manoj, Aravindakshan; Burn, Mathew; Patterson, Chris; Giallombardo, Elio; Smyth, Nigel; Mansoor, Syed; Anwar, Ijaz |
| Source: |
Journal of the American Heart Association ; volume 9, issue 1 ; ISSN 2047-9980 |
| Publisher Information: |
Ovid Technologies (Wolters Kluwer Health) |
| Publication Year: |
2020 |
| Description: |
Background It is likely that a proportion of poststroke cognitive impairment is sometimes attributable to unidentified prestroke decline; prestroke cognitive function is also clinically relevant because it is associated with poor functional outcomes, including death. We investigated the radiological and prognostic associations of preexisting cognitive impairment in patients with ischemic stroke or transient ischemic attack associated with atrial fibrillation. Methods and Results We included 1102 patients from the prospective multicenter observational CROMIS ‐2 (Clinical Relevance of Microbleeds in Stroke 2) atrial fibrillation study. Preexisting cognitive impairment was identified using the 16‐item Informant Questionnaire for Cognitive Decline in the Elderly. Functional outcome was measured using the modified Rankin scale. Preexisting cognitive impairment was common (n=271; 24.6%). The presence of lacunes (odds ratio [OR], 1.50; 95% CI , 1.03–1.05; P =0.034), increasing periventricular white matter hyperintensity grade (per grade increase, OR , 1.38; 95% CI , 1.17–1.63; P |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1161/jaha.119.014537 |
| DOI: |
10.1161/JAHA.119.014537 |
| Availability: |
https://doi.org/10.1161/jaha.119.014537; https://www.ahajournals.org/doi/full/10.1161/JAHA.119.014537 |
| Accession Number: |
edsbas.90B9B788 |
| Database: |
BASE |